[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-107-1-基礎醫學-034","nurse-107-1-basic-medicine-034",107,1,34,"下列何種疾病表現的水腫與血液滲透壓（osmotic pressure）下降的關聯性最低？",{"A":15,"B":16,"C":17,"D":18},"慢性廣泛性肝病（chronic diffuse liver disease）","蛋白質性營養不良（protein malnutrition）","右心衰竭（right heart failure）","腎病症候群（nephrotic syndrome）","C",null,[],"本題考點是水腫成因中「膠體滲透壓下降」與各疾病的關聯，屬找關聯最低者。依水腫病生理，右心衰竭造成的水腫主要來自靜脈回流受阻、微血管靜水壓升高，而非血漿膠體滲透壓下降，故關聯性最低，選 C。慢性肝病（A，白蛋白合成減少）、蛋白質營養不良（B，蛋白攝取不足）、腎病症候群（D，尿中大量流失白蛋白）三者皆因血漿白蛋白降低使膠體滲透壓下降而致水腫。判斷關鍵在於分辨「靜水壓升高」與「膠體滲透壓下降」兩種水腫機轉。","水腫四大機轉（Starling 力失衡）：微血管靜水壓↑（心衰、靜脈阻塞）、血漿膠體滲透壓↓（低白蛋白：肝病、腎病、營養不良）、微血管通透性↑（發炎、燒傷）、淋巴回流受阻（象皮病）。右心衰竭屬靜水壓型（周邊水腫、頸靜脈怒張、肝腫大）。記法：把疾病歸到 Starling 四類，本題三個是「低蛋白」類、心衰是「高靜水壓」類，故心衰為異類即答案。",[25,28,31,34],{"term":26,"count":27},"膠體滲透壓",8,{"term":29,"count":30},"Starling 力",5,{"term":32,"count":33},"右心衰竭",3,{"term":35,"count":11},"水腫機轉分類",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-107-1-basic-medicine-035","第一型過敏反應是因 IgE 與抗原結合後，造成肥大細胞的去顆粒化作用，下列何者是所釋出最重要的原發性介質（primary mediator）？",35,{"webId":42,"stem":43,"number":44,"year":10,"session":45},"nurse-107-2-basic-medicine-051","下列何者擬腎上腺素（sympathomimetic）藥物不具有 β 2 受體選擇性？",51,2,{"webId":47,"stem":48,"number":49,"year":50,"session":11},"nurse-108-1-basic-medicine-065","蛋白質感染原（prion）是非微生物性的病原體，下列敘述何者正確？",65,108,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-109-2-basic-medicine-023","治療憂鬱症主要針對下列何種神經傳導物質進行調節？",23,109,{"webId":57,"stem":58,"number":59,"year":60,"session":45},"nurse-110-2-basic-medicine-067","如果在出生後立即切除胸腺，主要會影響下列何種免疫反應？",67,110,{"webId":62,"stem":63,"number":11,"year":64,"session":45},"nurse-112-2-basic-medicine-001","總膽管是由那兩者匯聚形成？",112,"2026-09-04",1788510701146]